Endovascular repair in atypical traumatic rupture of thoracic aorta.
BACKGROUND
The traumatic rupture of thoracic aorta is a surgical emergency with high risk of morbidity and mortality.


METHODS
We describe the case of an atypical rupture of retro-cardiac thoracic aorta with dissection of brachiocephalic trunk and spleen trauma occurred after a road accident. TC scan and perioperative angiography showed an atypical rupture of thoracic aorta.


CONCLUSIONS
A combined treatment, endovascular for retro-cardiac thoracic aorta and surgical for brachiocephalic artery, has been useful to diminish the hemodynamic and organ ischemic problems associated with open surgery.
Benedetto
F
F
G. Martino University Hospital, Unit of Vascular Surgery, Messina, Italy.
La Spada
M
M
Stilo
F
F
De Caridi
G
G
Cotroneo
A
A
Passari
G
G
Spinelli
F
F
D000063:Accidents, Traffic; D001013:Aorta, Thoracic / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000293:injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*; D055815:Young Adult